At the core of all Straight Talk activities is youth participation as a strategy. The Straight Talk Editorial Board comprises of 4 boys and 4 girls who meet twice per month with adults from the KAPC.
Along with their peers, these adolescents guide and develop Straight Talk media as part of an interactive and participatory structure (which organisers claim has greatly contributed to its popularity).

Specifically, the Straight Talk Newspaper is produced by and for young people ages 15 to 19. The paper is published in Sheng, a popular patois of KiSwahili and English, and addresses topics generally not found in daily newspapers such as sexual abuse, pregnancy, homosexuality, masturbation and gender inequality. Personal reflections - e.g., whether or not to dislose an episode of sexual abuse to one's family and/or to get tested to find out whether HIV/AIDS was contracted as a result - are also incorporated into the newspaper's articles, columns, question-and-answer interviews, and cartoons.The paper's “Please Advise” column enables adolescents to respond to questions
from their peers. “We want to empower the students themselves to raise as many questions
as possible,” says one organiser. Each month, about 360,000 copies of the newspaper are produced, 300,000 of which are inserted in issues of The Nation, Kenya’s largest daily newspaper (KAPC distributes the remaining 60,000 copies through schools, youth-serving organisations and partners). Archived issues of the newsletter may be accessed on the Straight Talk website.

Straight Talk Clubs, each with an average of 35 students, aim to help improve adolescent health by fostering peer-to-peer discussion of HIV, by encouraging youth to share opinions about and experiences with confronting high-risk situations, and by helping them develop behaviour-negotiation skills through role-playing activities. Hosted within schools across the country, Straight Talk Clubs discuss issues raised in the newspaper, hear guest speakers, visit health centres and the disabled, and engage in community service projects. One goal is to increase dialogue between adolescents and teachers, and between adolescents and their parents.

Straight Talk has developed a training programme to prepare teachers and youth workers who run the Straight Talk Clubs to handle adolescents sexuality and reproductive health concerns with sensitivity. The training format is a 2-week class on group management and facilitation that includes peer education and HIV information.

To reinforce the messages shared through the Straight Talk newspaper and the clubs, a 30-minute radio programme is broadcast on KBC English Service on Saturday mornings from 11-11:30 a.m. The theme and focus of the programme is determined by the adolescent editorial board. The programme emphasises first-hand opinions and experiences of adolescents and introduces role-playing scenerios.

Youth, HIV/AIDS, Sexual Health.

The newspaper receives some 500 letters each month from across Kenya, many to “Dr. Straight,” a physician who advises KAPC, serves on the Straight Talk editorial board, and answers questions in print.

A 2003 knowledge, attitudes, and practices (KAP) survey commission by KAPC found that, of 800 youth in 7 provinces, 74% claimed to have been strongly influenced by Straight Talk on matters of reproductive health and HIV/AIDS. The major actions these respondents took to reduce their risk of HIV infection were talking about the disease with friends and family, and abstaining from sexual activity until older.